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An iatrogenic complication of internal jugular vein catheterization for hemodialysis

Yu Gong1, Hua-Xi Xu, Mei Lin

  • 1Department of Nephrology, Huashan Hospital, Fudan University, Shanghai 200040, China. gongyuzj@gmail.com

Irish Journal of Medical Science
|February 4, 2011
PubMed

Insights

Central venous catheterization for hemodialysis can cause rare arteriovenous fistulas. Early surgical repair is crucial to prevent further complications from this internal jugular vein access.

Area of Science:

  • Vascular Surgery
  • Nephrology
  • Interventional Radiology

Background:

  • Central venous catheterization is a common temporary vascular access for hemodialysis, particularly in developing nations.
  • Internal jugular vein catheterization, while frequent, carries risks of serious complications, including rare arteriovenous fistulas.
  • Iatrogenic common carotid artery-jugular vein arteriovenous fistula is an uncommon but significant complication of internal jugular vein catheterization for hemodialysis access.

Observation:

  • This case report details an iatrogenic common carotid artery-jugular vein arteriovenous fistula.
  • The fistula was a complication following internal jugular vein catheterization for hemodialysis access.
  • The patient was a uremic individual undergoing hemodialysis therapy.

Findings:

  • The iatrogenic arteriovenous fistula was successfully repaired surgically.
  • The report highlights the successful management of this rare complication.

Implications:

  • Thorough knowledge of anatomical landmarks and meticulous preparation are essential to minimize risks during internal jugular vein catheterization.
  • Physician experience and the use of ultrasound guidance are critical for safe catheterization.
  • Prompt surgical intervention is recommended to avoid the progression to more severe complications.
Abstract

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